Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $306.00 / $1,114.08	Facility		$69.73	$306.00	$1,114.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $122.31 / $299.70	Professional		$58.60	$122.31	$299.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.19 / $170.19 / $170.19	Professional		$170.19	$170.19	$170.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $567.02 / $1,107.58	Facility		$249.58	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $205.28 / $918.11	Professional		$79.70	$205.28	$918.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $142.72 / $298.01	Professional		$69.95	$142.72	$298.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $159.36 / $310.25	Facility		$78.72	$159.36	$310.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $152.00 / $301.41	Professional		$79.94	$152.00	$301.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $206.36 / $227.12	Facility		$105.46	$206.36	$227.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $151.76 / $154.47	Facility		$151.76	$151.76	$154.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $154.47 / $281.72	Professional		$78.23	$154.47	$281.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $146.99 / $274.02	Professional		$75.31	$146.99	$274.02
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $184.77 / $326.33	Professional		$135.44	$184.77	$326.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $57.28 / $124.37	Professional		$57.28	$57.28	$124.37